No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WYOMING FINANCIAL ISURANCE EIN 83-0294372 NETWORK ACCESS | Accounting (including auditing); Insurance agents and brokers; Other services; Plan Administrator; Contract Administrator Service code 10 | 400 EAST FIRST STREET SUITE 214 CASPER, WY 82604 | $210K |
| HEALTHSMART BENEFIT SOLUTIONS EIN 36-4099199 CONTRACT ADMINISTRATOR | Contract Administrator; Accounting (including auditing) Service code 10 | 222 W LAS COLINAS BLVD SUITE 500N IRVING, TX 75039 | $125K |
| CONFINITY EIN 20-1274723 PPO NETWORK ACCESS | Contract Administrator; Claims processing Service code 12 | 28588 NORTHWESTERN HWY STE 380 SOUTHFIELD, MI 480348335 | $40K |
| IMAGINE HEALTH EIN 26-4343123 PPO ACCESS FEE | Contract Administrator; Claims processing Service code 12 | 6995 UNION PARK CENTER, STE 140 COTTONWOOD HEIGHTS, UT 84047 | $29K |
| WY CHAMBERS OF COMMERCE ASSOC EIN 20-8856052 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | — | $12K |
| WYOMING HEALTH FAIRS NONE | Other services Service code 49 | 115 SOUTH ELM CASPER, WY 82601 | $0 |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 371 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 371 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.